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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000270

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Muriel FrancesMacEachern Sex Female

Date of Birth May 31, 1921 Place of Birth West TatamagoucheCounty of Colchester

Name of Father Jamesie MacEachern MAIDEN NAME of Mother Emma Frances Roberts

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born West Tatamagouche Present address of Father Bayhead

Occupation of Father at Birth of child Farmer Place of birth of Father West Tatamagouche

Race Scottish Name and present address of Physician in attendance at birth Dr. Dan Murray

Signature of Applicant Mrs. Jamesie MacEachern Address of Applicant Malagash Station Date June 17, 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Muriel FrancesMacEachern

Born at West Tatamagouche in the County of Colchester

That Muriel FrancesMacEachern Whose Birth is sought to be registered was

born at West Tatamagouche Colchester County on May 31, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

This child was born to me on the above date at place given with Dr. Dan Murray in attendance Doctors Records

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